title: A gratifying surgical repair of anomalous left coronary artery from pulmonary artery: three decades of follow-up.
abstract: Establishing a two coronary system is the best treatment option for anomalous origin of left coronary artery from the pulmonary artery (ALCAPA). We describe a case of ALCAPA with three decades of follow up after an end-to-end anastomosis of left subclavian artery and left coronary artery with mitral valve replacement. This technique of establishing a two coronary system was done in an era when coronary transfer technique was not established and myocardial protection techniques were not available. This case is also the longest follow up of prosthetic mitral valve replacement in a child with ALCAPA.
authors.affiliation: Department of Pediatric Cardiology, Frontier Lifeline & Dr K M Cherian Heart Foundation, Chennai, India.
authors.forename: Anuradha
authors.initials: A
authors.lastname: Sridhar
authors.forename: Raghavan
authors.initials: R
authors.lastname: Subramanyan
authors.forename: Kotturathu Mammen
authors.initials: KM
authors.lastname: Cherian
keywords: ALCAPA; anastomosis; congenital heart surgery; coronary artery anomaly; coronary artery imaging (all modalities); coronary artery surgery; mitral valve replacement